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  1. Oldmahubbard

    Would this shirt get me into trouble in class?

    With regard to promoting one's spiritual philosophy, whatever flavor that may be .... it's so much better to live it in such a way that people ask where you get your mojo. That is never offensive but tee shirts can be.
  2. The issue is not the lunch hour. It is the fact that the job cannot be done in 40 hours. No shocker there. You don't say how many hours a week you do work . If I had to guess, the other 32 and 35 hour a week jobs are really longer hours as well. You don't mention your salary, or the going rate where you live. The best outcome would be that the 32 hour a week job is really only 32 hours a week, and pays the same as your current job, and the position is still open. Unlikely. If you are reasonably happy where you are, I would get the lay of the land. Get some experience. You'll have more information a couple of years from now.
  3. Oldmahubbard

    I Hope This is Not the Latest Trend

    As a former RN in LTC, I am astonished that these type of charges are so rarely brought. Because extreme neglect goes on all the time in LTC. Every day. In every state, and every city. I couldn't leave. There was no money in the bank. We would have lost our house. The criminals are the owners.
  4. Oldmahubbard

    How did your program teach physical assessment?

    I went to a B and M school some 20 years ago. We practiced on each other and there was no pelvic or rectal exam. There was a lot of rote memorization to it as I recall. It was not good preparation, but at least I had my extensive RN experience to back me up. I can't imagine trying to do this mostly online.
  5. Oldmahubbard

    I Hope This is Not the Latest Trend

    In any case, looks like she was documenting examinations she wasn't actually doing.
  6. Oldmahubbard

    NP Schedule

    You are new at the game and still learning a lot. Think of that in a positive way. You are gaining very valuable experience. No joke! You will need to set boundaries and not write refills if the patient hasn't been in. You need to model expectations for the support staff. Uncontrolled diabetics may need an endocrine consult. Don't quote me, I'm psych. Of course we know they have a horrible diet. Every job probably has some of these issues, at least occasionally, but if you can find a job closer to home, everything else being equal, that would be preferable.
  7. Oldmahubbard

    I Hope This is Not the Latest Trend

    I have been in jobs where there was strong pressure and temptation to falsify charts. This is so far from a rare situation. My question is how did the NP get pulled in and who was she working for?
  8. Oldmahubbard

    Oversupply of Nurse Practitioners

    NP pay is going to be based on market factors, end of story. Still it rankles me that when the NP is paid 40% of the MD rate for similar work in primary care, that margin is siphoned off into somebody's pocket. Usually the MD who "supervises", or "collaborates". The low pay or savings, depending on how you look at it, are not passed on to the public or the health care system at large. Not at all. Not even a little.
  9. Oldmahubbard

    What are the low stress nurse practitioner jobs

    Long term care, by far. Nothing glamorous, but you generally work at your own pace.
  10. Oldmahubbard

    Salary range means?

    Sometimes it's productivity based and you have to prove you are worth 140
  11. Oldmahubbard

    Recent Info on Full Practice Authority for APRNs

    I am in a state where NP practice was modernized a few years back. No more collaborative requirement for those with a relatively small amount of experience. Having lived for many years under the old rule, I can tell you that a very quick look at a small fraction of NP records every 3 months, as previously required, would not protect the public from an incompetent person. So the old requirements were BS. And NPs are expected to know what is outside their scope, just like every other medical professional, and to refer. That being said, we are now graduating people from such low quality programs that I truly fear for the profession.